NW 88326

Assassination Records Review Board
Final Determination Notification

‘AGENCY : HSCA
RECORD NUMBER : 180-10060-10440
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 11

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponemenits: 9

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of

_ privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

Dochd:37299448 Page 1

WED a oe

Date: 08/20/93
.Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

' AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180~-10060-10440

_ RECORDS SERIES :
STAFF PAYROLL RECORDS

1

ORIGINATOR :
FROM :
TO :

TITLE :

DATE
PAGES

10/21/76
10

7 SUBJECTS :
-HSCA, ADMINISTRATION
HESS, JACQUELINE |

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 06/04/93.

OPENING CRITERIA

ee

. COMMENTS
Box 2.

[R] - ITEM IS RESTRICTED

| NW 88326
| Decld:32239446 Page 2

January 2 79
Date. EY We
oO (Signature of Authorizing Official}
LOUIS STORES
(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member) = ype or printnome of Authorizing Oficial) SSSCS*~C~S
| TAIRMAN

. be approved by the Committee on House Administration. - - _

| NW 88326 : | Fn a
| Docld:32239448 Page 3 ‘ Yo j

PAYROLL AUTHORIZATION FORM a

(Please Use Typewriter. “C¥ us. HOUSE OF REPRESENTATIVES.) (Any erasures, corrections, or changes

. . : on. this form must be initialed by the
or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) .

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

= Employee Name (First-Middle-Last) : Effective Date

Jacqueline Hesa . 32/31/78 |
7-4 . . . |

Employee Social Security Number Type of Action
229-48-5696

Employing Office or Committee/Subcommittee

OO Appointment
() Salary Adjustment
O Title Change

Termination (At close of business on effective date)

0) Leave without pay (Beginning with effective date above and ending

Assassinations close of business )

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title ; Gross Annual Salary*

* lf employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office. :

(If Committee Employee, complete appropriate item below.)

i. O Standing Committee: Staff—L Clerical or 0) Professional.

2. Special (Investigative staff of Standing Committee) or Select Committee: ‘Authority—H. Resi2©.. of 2th Congress.

3. O Joint Committee.

(If Employee of an Officer. of the House, complete item below.)

Position Number

1 certify that this authorization is not in. violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.

EC SERCON a

All appointments and salary adjustments for employees under the House Classification Act-and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee. on the Budget, and. the Joint Committees, must

APPROVED:

Chairman, Committee on House Administration:

eligt ge tag i ty le tet Do tas dele Ue cout hd ten Agen tah ti ge Ey a
UPI IRE NS bined Stains day . tie it dey « ; se,

ios Hee ean TORTS ON SNORT ETTORE SOME SEARO SCTE ET ae I TE OT DEPRES

lata Esa al atl Col tal te be Oe EN iy

eae


PAYROLL AUTHORIZATION FO": So ne:
U.S. HOUSE OF REPRESENTATIVES
Ho Washington, D.C. 20515. 0°

ae et el ee

(Any erasures; corrections, or changes:
‘on .this form must be: initialed by the
authorizing official.)- 7

_ (Please Use Typewriter.
-or Ballpoint Pen)

To the Clerk of the House of Representatives: oe

| hereby authorize the following payroll action:

a Enis Hane F-wie La) { __-_ Effective Date
Jacquéline Hess | Noverber 1, i878

__Employee Social Security Number

22088-5693 3G . C1 Appointment
. iE] Salary Adjustment

_Enpoying Office or Committee/Subcommittee . 0 Title Change 4 |
CO] Termination (At close of business on effective date) 4
CZ Leave without pay (Beginning with effective date above and ending a
close of business a
4
4
“3
Position Title . Gross Annual Salary* 4
ne)
y
$29,300.00 ve
* If employee ‘is a: ‘civil service annuitant. lincludes: U.S. House of Representatives),. the gross annual salary. shown should include the annuity received by the employee ” |
plus the salary received ‘from the employing office. . “4
(If Committee Employee, complete appropriate item below.) “4 wo
2 \
1. By O Standing Committee: Staff—O Clerical or LF) Professional. 4 \

3. Do. Joint Committee.

“i
td
oOM
4
. “a
4 .
cay

(If Employee of ar Officer of the House, complete item below.)

Position Number If applicable, Level_

- _ (Signature: of ‘Authorizing Ones

“LOUIS STORRS

(if. appropriate, signature of Subcommittee Chairman or Ranking Minority Membey) +" ee or print nomeol Authorizing Oficial
- Cheat rman,

_All-appointments and salary adjustments for. employees" under: ‘the: House Classification -Act-and for Committee. em=-,
as ployees, except those of the.Committee on Appropriations, the -Committee’on the Budget, -and: the Joint Committees; must” *
be approved by the Committee on House Administration. -

APPROVED:

Chairman, Committee on House Administration |

_ Office of Finance use only:

Office Code

. . ve
eens wert hey orey
jonas si caw tar cca ashes

: (Revised: August 1, 1977)

88326 | FO ae ee
1d:32239448 Page 4 ‘ ; Oped! } ‘


eee eee

PAYROLL AUTHORIZATION FORM.

_."-(Please Use‘Typewriter © U. S. HOUSE OF REPRESENTATIVES ~ (Any erasures;‘corrections, or changes ~~

;
j

Lote i , st _ ~...-, On this form must be initialed by the -
7" @r Ballpoint Pen) Washington, D.C: 20515. -~ Suthorizing official.) ”
[
j
[

~ To the Clerk of-the House of Representatives: as

|- hereby authorize the following’payroll action: ~

Poof __ Employee Name (First-Middle-Last) ns Sr rs Effective Date

oo

Jacqueline Hess ATF
oe Employee Social Security Number. Seep Type of Action «

F

eo

: : . - ‘ ‘ 4
densa ca bc Dt le ti ete ede EIA ela taccainaassetelat antes

eee

220-488-5696 [] Appointment

Employing Office or Committee [REE Sclary Adjustment

[] Termination (At close of business on effective date) .

|
ho | Assassinations
I. {If type of action isan Appointment or Salary Adjustment, complete the following information.)

Position Title _— ; | "Gross Annual Salary ; | } too

Deputy Chief Researcher : $27,808

(If Committee Employee, complete appropriate item below.) —

1. L] Standing Committee: Staff—] Clerical or[_] rofesionl

2, & Special or Select Committee: Authority H. Res, 405 of SER Congress.

3. g Joint Committee.

}

i. (If Employee of an Officer of the House, complete item below.) -

Position Number If applicable, Level_

-| certify ‘that this ‘authorization ‘is’. not in: violation of 3 (US.C: * 313046)
relatives.

Date_ Kovenber & 19F

prohibiting the employment of :
i

~All appointments:and salary adjustments for-employees ‘under the’ House; Classification Act and:for:Cémmittee-erne-
"ployees,. except those-of the Committee’ on. Appropriations) the: Committee -on the Budget,’ cand ‘the Joirit- Committees: must*
‘be approved by the Committee on ‘House Administration. - tm sm a es

4

. APPROVED: Do

Chairman, Committee on House Administration

Office of Finance use only:-

Offic Code

Reals nilatat a AE aie a OETA Ria cpu ian adda aC Nitta st tS nS aah t ta a Raila toi ated tek haa! eae Son cad LOL CECE BESTS EO UVR COU OCERCU EEN Se PIC UEO TT NOT, cS HOR 1 OTN LE BROT ET DORE EST Ee

Lee <a a sd ans, Copy for initiating. Office or Committee. ees we 7 Pan fase woe Suro aS aM \ oe ae

ee —

hw W 88326 re a
1d:32239448 Page 5 : Creag! ; 7


To: Thomas Howarth, Budget. Officer cre _ . i

From:. G. Robert Blakey, Chief Counsel and staff Director BBO, 2 o “ |
Date: November 7, 1977 . .

Re: _ Salary Adjustment ~ one ‘year anniversary aes = tee

“Adjust the salaries of the following individuals as. indicated

effective Novenber 1, 1977

New Salary co
$25, 700 a
25.700

_ Employee | “Present Salary a 7. 05%. Increase.

Akers - $24, 000 - ~ $y 700

Blackmer 24,000 -. es JS700-. oe
Gyo 362000 p50 382560

~ Hess 26,000 P8007, 800

_ McPherson =~ -16,000°5 1, 100 VSWR
Orr, Patricia = 17,500. = | 1,200 ° 78,7007

few Shed

eet

‘NW 88326 | ee er ; Po


ee ee ee QO EES Eee ee

- PAYROLL AUTHORIZATION--FORM: . cae

Z _ - (Please. Use Typewriter’. “UL S. HOUSE. oF REPRESENTATIVES ~-(Any- erasures, corrections, or:changes .
| : -- or Ballpoint Pen) ~~ Washington, D:¢. 20515 ° ot --on this form must: be initialed: by the.
{
|

authorizing official

- To the Clerk. of the. House: of: Representatives: -

| hereby authorize the following payroll action: -

Employee Name (First-Middle-Last). a oo 7 bes Effective Date -

Jacqueline Hess

BATT?

-~ Employee Social Security Number ~ “Type of Action :

( Appointment

22048-5696 | A Appointment
_Employing Office or Committee’ == = « ——_—s|,_:(# Salary Adjustment.

( ; :
-[-] Termination {At close of business on effective date)

|

|

; {intr
i | Assassinations
ig ~ _ .
| (If type of action-is.an Appointment-or Salary Adjustment,:complete the following information:)

Position Title

Daputy Chief Reseaecher | 26 006

(If Committee Employee, complete appropriate item below) © 7 a

1 Standing Committee: Staff-[] Clerical or [_] Professional.

: gm Bek . .
2. 4. Special or Select Committee: Authority —H. Res 889 of 288A Congress, Dy Sete ay

3. [_] Joint Committee.

4
4
od
ow
4
4
4
4
4
a
ae
A
4
3
4

, aA
oa

wo (IF Employee ‘of air Officer.of the House; complete item'below.) we

“Step 2 ;

Position Number__ oe «Af applicable,.Level_

‘1 -certify~-that -this authorization. - snot. in--violation = -ofe.5° U Go3110(b),-
relatives. _— oe

‘prohibiting. the: employment. of -.
woe we .

mgs 2 oe | . a7

T ype or print name-of Authorizing Olficial) wey

CHAT RAMAN

Title— if Member, District ond State) are

~ All:appointments:and. salary-adjustments:for employees’ under. the. House.ClassificationAct :and “for: ‘Committee “em="
reds ployees;, except those. of. the Committeeson°Appropriations; the» Committee” ‘on the: Budget, cand: ‘the® Yoint’ ‘Committees; “must’:
be approved by: the-Comimittee onsHouse.Administration.. 80) ee re Sah Taba RE BSE tet te,

a a, _ARPROVED: a oe
i ° ce, Chairman, Committee-on House Administration. 7 0S wt. ee

Office of Finance-use only:.-. :

Office Code

ede nied wanna intial

Copy for Initioting Office ore Committee


PAYROLL AUTHORIZATION. FORM. ree

: (Please Use Typewriters.) Us S: “HOUSE: oF. REPRESENTATIVES wl (Any erasures,-corrections,.or: changes:

ap RalnnintPan) oo oe ee ©. on_this form must he- initialed. ‘by the...
“or Ballpoint:-Pen) . Wasnington, D.C.:20515~ authorizing official.) °. _

-To the Clerk of the House of Representatives: JD SNS betatee

|-hereby authorize the following payroll action: © «<3 °.0 "5

= _ Employee Name: (First: -Middle- -Last) es ee ene : : we Effective Date: -- ~~ re

Jacqueli ine Hess a 5/6/77

Employee: Social Security Number er rar Type of Action:

B30 048 5696

C] Appointment

nt Goer Employing ( Office or Committee 48) Salory Adjustment. mee
io awe
|

(J) Termination (At close of business on effective: date)

7 fissassinations
(lf type of;action is an Appointment or Salary Adjustment; complete. the following information.): y-s..e 8
- Position Title — , : Gross Annual Salary

524 , 000

(If Committee Employee, complete appropriate item-below.}..\ es-e.c0 002

“VE [I]. Standing Committee: Staff —{-].Clerical orl Professional... i. 2"

2. le Special or Select Committee: Authority— H.-Res._ $o5 _of g5th Congress...

: wel tet ho,
reer cet wept ie!
Lice etides Latins aad Albi cob eae es

3 [_] Joint Committee. _

Hei

i>

. (If. Employee of an Officer of the. House; complete item below.) Ayr ae eset te Pb he

Position Number. nee _..__If applicable, Level_-

nn
=

oO ,
wm.
| .
|-

1

(

1

{

t

'

f

(Ph alata cla tat

Dote My TO PF OO te ag .
a , eee aad =2(Gignature of Authorizing Official) ~=S=SOs=C~=<“<~=S*é“‘S™S™*™*~*™S
Louis ‘Stokes
ee a print name of Authorizing Official)». ss.
A OR -
a” (Title If Member, District-and State).
“aude ere All_appointments:and salary adjustments:for employees. under.the. House Classification: Act-and for Committee. em-:":-

“ployees, except: those.ofthe-Committee. on Appropriations; the Committee: on the: Budget, and-.the:Joint Committees; must:
“be. ‘approved by:the:Committee on: House Administration.: : : : er near oo

7 APPROVED:

“Chairman, Committee on House Administration. wor
Office of Finance. use only: -

- Office Code.-

Copy for Initiating Office: or Committee 2 ee lr tes oe, che

| NW 88326 | nn
ocld:32239448 Page 8 : ope |


: : PAYROLL AUTHORIZATION FORM cn ae so :
Je ‘si (Please Use Typewriter -- U. S. HOUSE OF. REPRESENTATIVES “(any erasures, corrections, or changes’... =
: or Ballpoint Pen) > = Washington, D.C. 20515 coo ON this form must be. vinitialed by the

authorizing official.)

I. To the Clerk of the House of Representatives:

oo | hereby authorize the following payroll action: , -—

| . 2 | en 7 Employee Name (First- -Middle- Last) ee eee = Zz Effective Date.
Jacauel ine Hess 8/1/77

Ente Social Security Number. ~~) a Type of Action =~

(] Appointment

“a
a
y
4

| Employing Office or Committee == i (it Solary Adjustment 4
; CO Termination (At close of business on effective dote) 4

. ee el

| Assassinat fons | A

_ (If type of: ‘action i isan Appointment or Salary Adjustment, complete: the following. information.) ae

g 4

| - Position Title ‘Gross Annual Salaiy _ 4
! : 4

ise,

(lf Committee Employee, complete: ‘appropriate item below.) .

aL [J]. Standing Committee: Staff—[_] Clerical or L_} Professional. :

2 [al Special or Select Committee: Authority—H. Res. 488 -__- of _95%% Congress.
3, [J Joint Committee. a

_-(If Employee of an Officer of the House, complete item below.)

Position Number___- Af opplicable, Level_-

Step_-

| certify. ‘that. this:- authorization is. not: in. violation. of 5 U.S.C. 31 0(b); prohibiting the. = employment of
, relatives. e . . ’

a a ee ee ee ee os

a (Signature of Authorizing Official)

“Louis Stokes

-All appointments and salary. adjustments for-employees under..the House: Classification. Act-and for. Committee em---
i: 4, -ployees,. except:those..of the-Committee on Appropriations; the Committeeon the Budget, and the Joint. Committees, must: °
. be. approved by. the Committee on House Administration, 2) = xs

pAGLG LSS, Sioa RR ceed ett ects tad es Man he diabetes i ala a ale

pha.

APPROVED:

- Chairman, Committee on House Administration

Office of Finance use only::

Office Code

“o" Copy: for Initiating Office or Committee |

| NW 88326 | FO ee
| Docld:32239448 Page 9 : Vet ;

al

PAYROLL. AUTHORIZATION. FORM. wee Be Ne i

a 5. HOUSE-OF REPRESENTATIVES: tay orabuess, co ae :
: -c. on this form must be ‘initialed by es
“Washington, ‘D.C. 20515: , authorizing official.) —.

(Please Use: Typewriter
or Ballpoint Pen). :

To the Clerk of the House of Representatives:

| hereby authorize the following: payroll action:

“Employee. Name (First: -Middle- zLast)- = ee | _ 7 = oS «Effective Date -

‘dacquel ine Hess

>. Type of Action

| Employee. ‘Social Security: ‘Number:

“320-48. 5696

{-] Appointment

Employing Office or Committee : i Salory Adjustment

Eh dad atadiee
a

(J Termination (At close of business on effective date)

; Select Committee on Assassinations

- (IF type of action is an Appointment-or Salary. Adjustment,-complete the following information) = 8 ie ue

~ Position Title oe - a Gross Annual Salary .

$14,760, 06

(If Committee Employee, complete-appropriate itembelow,)"..- --. :

i
a
7 ee
“a
2
: 3
“ya
“3
a
md
4
7H

Poe 1. [1] Standing Committee: Staff-[] Clerical.or {"} Professional. Bete
| 2. ESpecial or Select Committee: Authority —H. Res. Wh. of 29. Congress.

3. [_] Joint Committee.

(If Employee of an: Officer of the-House; complete item below:).. -

Position Number_____ ~ -__> If applicable;-Level_

a . |_.certify. that -.this:-authorization: is - not+in. violation. of 5 4U.S:C::311.0(b);, prohibiting:.the.. -etnployment: of
relatives.

Z= 28- a

(Signature of Authorizing Official)

Henry B. ‘Gonzalez
(Type or print name of Authorizing Official). °. - ae
Chairman

~AlL.appointments and.salary-adjustments.for-employees.under: the:House -Classification. Act :and. for-Committee-em-i+* +
|... ployees» except those -of -the.Committee:on: Appropriotions, | the. Committee. ‘on-.the.. Budget: -and: the: Joint-Committees,:must-*
‘be approved by: the. Committee-on: House: Administrations: ve-.g.90 0 vi a EE OU Se BR eg :

APPROVED:

“Chairman, Committee on House Administration :
Office of Finance use only:

Office Code

Copy for initiating Office or Committee -

Hymn er ere nn een
NW 88326 | Fe po
| Docld:32239448 Page 10 : Bae: ; .


—

% .

PAYROLL AUTHORIZATION FOR os.

'.(Please:Use Typewriter - ow, Ss. HOUSE OF- REPRESENTATIVES | —, any erasures, corrections; or changes

a ee . : n this form must: be initialed by the co
c oF Ballpoint Pen) wa “Washington, D.C. 20515 Te, -authorizing official.) a

¢

C

~. To the cer fhe House ot Reprssitates: os 7 Co me

l hereby authorize the following payroll action: -- = 5 | .

c . ri , ca ~ og

Employee Name (First-Middle-Last) |. Effective Date

Jacgueling Hess oo LMS?
~ ; "Employee Social Security Number == st Type of Action

o Appointment

7 _ . __Employing Office or Committee fp Se Salary Adjustment’

C] Termination (At close of business on » effective date) .

| Select Co mittee on Assassinations Sede | — Ss
io - ~ : ‘. :

_ (If Committee Employee, complete appropriate item below.) - nN es a (FO
’ . f ’ . .

- 0 x : ; . : ‘

i 1. E] Standing Committee: Staff—[_] Clerical or [J Professional. - oe —

N

x i . _ 13
2. Special or Select Committee: Authority —H. Res. iL. of 2 ER. Congress. |

|
| a 3. [] Joint Committee. ne a . ; - _ —_ |

. ~ . 4 i

(lf Employee of an Officer of the House, complete item below.) .— - co Ne _

. ae ‘ a 7 ; . 7
Position Number: .__|f opplicable, Level So

Step_-__-__.

}

sb certify: that. this authorization ‘is not. in violation of 5. US.C. 3110(b}, -prohibiting the employment of
relatives. ~ OO “

I : {Signature of Authorizing Official)

: a ~ > Henry 6. Gonze leg of

; - All-appointments and= salary adjustments for employees under the House Classification” ‘Actfand for Committee.em- -
- 2=ployees; except-those of-the Committee on Appropriations, the: Committee- on the Budget, ‘and ‘the Joint Committees; must
be approved by the Committee on fi House Administration.» - - - Lo oo Lee 7 . ; - \

. c : . . . : 0 . . ~ |
ee 7 “APPROVED: Z ; oo oy |

Office. of Finance use only: ~~ . /

Office Code._s_ 2 c a -

z . _?
y - . /

Copy for Initiating Office or Committee Se co . ot |

| NW 88326 | Fn oe
1d:32239448 Page 11 ‘ Pak: | 7


PAYROLL AUTHORIZATION FORM. Se ges oe a |

an
{Please ‘Use Typewriter - Cu U. Su: HOUSE: OF. REPRESENTATIVES | SS . (Any: erasures; corrections, or changes

. -on this form must: be initialed by the
or Ballpoint Pen)... _ Washington, D.C. 20515 - _ * authorizing oficial.) .

\
i

To the Clerk of the House of Representatives: we r

| hereby authorize the following payroll action: . cs

Employee Name (First-Middle-Last)

CJ Appointment

30 —] Salary: Adjustment. and vie & enan ge

fed

CI Termination (At close of business on effective date) ‘

“(If Committee Employee, complete appropriate item below.) a Ba me 3
— _ _ .
eT, CI Standing Committee: Staff— Hi clerica orf] Professional. ~~ ; of
4 #3 a -
2. BSI HJ Special or Select Cominittee: Authority H. Res oS) oF 4 72%" Congress. ae 5

3. a Joint Committee.

(If Employee of an Officer of the House, complete item below, ; of an
Position Number 22.2) __e. If applicable, level______. Step. ns q
:
' \ . “ . .
oe certify that this’. authorization is not cin: violation ‘of 5 USC. 3110(b), prohibiting the employment of ..._
relatives. | / . a —_
- So ~ . |
Date - vecempar 2o 19 #2 - . |
ns De Be _"Bancire of Authoring Ofte ee i
| CO Thomas 8. bowing, Chal ruan
a _ . So a a ong OR |
: Select Committee on ‘Assassinatig ns 7 >
a oe eee ee ee ee ee — .
. > (rine - If f Member, District and State)

a

-All.appointments and: salary adjustments for employees under: the: House Classification. “Act and: for Committeeem-.
_ ployees,. except. those: of: the.Gommitteexon. Appropriations, the Committee on the Budget, and the: Joint Committees, must:

‘be approved by the Committee ‘on House Administ¥ation.« ; Moe os ae
"APPROVED: ee So
- ' Chairman, Committee on House Administration ~ -
- — ia - = 7 : - ; on
Office of Finance use © only: ; 7
_ Office Code.________ y
et nae 00 i
: Copy. for Initiating. Office’ or Committee. Ce
| NW 88326 FO

1d:32239448 Page 12 i Pee! ;

ey

PAYROLL hi :

(Please Use ype

or Ballpoint Pen) Washington, D.C. 20515

authorizing official. y

. To the Clerk of the House of Representatives: Le

1 | hereby authorize the following payroll action: 0. le Ce 5D -

ie oy Employee Name (First: “Middle- -Last) . a a | _ Effective Date 7 ~
fe Jacqueline Hess ee a fp October 21, 1976 |
7 Employee Social Security Number ° . Type of Action
20-48-5696 | Appointment _
Employing Office or Committee . ; o Salary Adjustment

im Termination (At lose of business on effective date}

Select Committee on Assassinations

“(If type of action.is an Appointment or Salary Adjustment, complete the following information.) _—

Position Title fo. Gross Annual Salary
-Assistant Chief Researcher Ry ~ $20, 000.
a aul Committee Employee, complete appropriate item below.) cee - oe be ; Se55 Sal ,

1. L] Standing Committee: Staff— a Clerical. orf Professional, =
2. & Special « or Select Committee: Authority— H. Res. 1540 of 24 EHCongress.

3. oe Joint Commitee.

| Pe 10 28 76 PRI2 8!
(iF eels of an Officer of the House, complete item below) deck eIANCE FFE

‘Position Number _ | Hf f opplicable, Level _

| Stepan ar

‘certify that this” authorization Lis “not in violation
7 relatives. se

of 5: U:S.C.

sat, prohibiting ‘the eroyrent of

~All appointments and salary. adjustments for employees under the: House Classification Act and for Committee em--

_--ployees, except those of thé. Committee on Appropriations; the Committee on the Budger,. and the Joint Committees, must.

Jabe. approved by the Committee on House Administration. oo fy . ee 4

My

APPROVED: ~shaselasct 2 gare (oe

wn

| NW v 99326.

Ne oe

{Absa nn, Comin on House, Adminitirbtion ~~
ui :
x _f
_Office-of Finance use only: re ee Bs SAR x “py
Office Code... ee a a oN Po ee 2
: . aS RL :
“Monthly Annuity 6.00 “ ce!

| Docid:32739448 Page T.

. Zon >
v S. HOUSE OF REPRESENTATIVES (G Corrections, or changes

on this form must be initialed byt the

_

dearer cotat sana nee:

Se ee oe


emo: ALL Staff Employees

othe certification: °

Oy. brother ‘father-in-law 8. © ~~ _. stepbrother.

or am not. related

Sy am related by the following relationship.

“MEMORANDUM.

“FROM: Budget Officer _
(DATE: January 3, 1977,

- RE: | Payroll Certification

7 ‘Starting with. the January, 1977, payroll, the certification
“to the House Finance Office requires, among other things, the | fone

- “yelationship, if any, of each staff employee to any current... -

“: Member: of. Congress (those. taking office January. 3, (1977).

“The. following are the relationships to be included in

father nephew 7 to brother-in-low.

mother = = niece oo sister-in-law
son oe pusband = stepfather
daughter st Wife oe stepmother. ey

sister ~ mother-in-law _ oo stepsister -
ounce 9° sontinelaw half-brother —
punt =. o-  daughter-inlaw.. >. half-sister

os first.cousin: oe Soo Re Se oe Sas

cn mn mein: | ne

ae All staff employees are. requested to complete this
, -form and return it to the Budget officer, eS

-. Approved —
Richard aA. Sprague

Cs ee ee eae cs ee nem es ee ne ce cet ee en eae em cam ee wee ne cn en me ee ee a ce re oe me ne ee ee ne ee ce ee eee Sree en Ete Sot ee Se ome ee ey ce Det

of Employes


